title: [A woman with anginal symptoms and normal coronary arteries].
abstract: Angina pectoris is usually the first manifestation ofischaemic heart disease. Men are more often affected than women, but women are often denied the full diagnostic work-up of ischaemic heart disease. A 58-year-old woman had typical angina, positive exercise electrocardiography and a negative coronary arteriogram: syndrome X. She was treated with a beta blocker, aspirin, a statin and an angiotensin-converting enzyme (ACE) inhibitor, and eventually obtained relief of her symptoms.
authors.affiliation: Universitair Medisch Centrum St Radboud, afd. Cardiologie, 670, Hartlongcentrum, Postbus 9101, 6500 HB Nijmegen.
authors.forename: M A
authors.initials: MA
authors.lastname: Asselman
authors.forename: S W
authors.initials: SW
authors.lastname: Westra
authors.forename: F W A
authors.initials: FW
authors.lastname: Verheugt
mesh_terms: D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D000806:Angiotensin-Converting Enzyme Inhibitors / Q000627:therapeutic use; D001241:Aspirin / Q000627:therapeutic use; D004562:Electrocardiography / Q000379:methods; D017079:Exercise Tolerance / Q000502:physiology; D005260:Female; D006801:Humans; D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors / Q000627:therapeutic use; D017566:Microvascular Angina / Q000175:diagnosis* / Q000188:drug therapy*; D008875:Middle Aged; D016896:Treatment Outcome
chemical_list: D000319:Adrenergic beta-Antagonists; D000806:Angiotensin-Converting Enzyme Inhibitors; D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors; D001241:Aspirin